HomeMy WebLinkAbout912 S Eunice St - BuildingOF PORT44
re
Application Application Number
Application pin numbe
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
install water meter
Owner
ACE MICHAELS INC
1329 W 10TH ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorizied Agent
T•\Policies \1102 15 [10/08]
WA 98363
Qty Unit Charge Per
1 00 1160 0000 EA
PUBLIC WORKS RES WATER SERV
161307
1160 00 Plan Check Fee 00
2/23/10 Valuation 0
8/22/10
Charged
1160
1160
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
10 00000180
822080
912 S EUNICE ST
06 30 00 0 2 8600 0000
PUBLIC WORKS UTILITES
UNKNOWN
0
Contractor
OWNER
PW W/M 1 SERV 5/8 METER
Paid Credited
00 1160 00 00
00 00 00
00 1160 00 00
Date 2/23/10
Due
Extension
1160 00
00
00
00
(i 2
Date Signa ure of Owner (if owner is builder)
c? 3 10
Date
CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T \Policies \1102 15 [10/08]
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES 1 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED I
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
I I I
I I I
I 1 1 I
----
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. & y.-:;---
DATE 6-9-7'~
ELECTRICAL PERMIT
Installed By:
o READY FOR
INSPECTION
License Number:
WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Sq. Ft.
;g RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
o FAN/WALL KW _
o HEAT PUMP KW_
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
~ REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~ OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
.Sit SINGLE PHASE
o THREE PHASE
SERVICE SIZE /~6- AMPS
o SIGN 0 SPECIAL EQUIPMENT
(LIST BELOW)
DetailslDescription: <!/AY1t,;~~../- /&2...H,/
.
~
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
J...JA~ O.K. to connect service
/W" 0 Final O.K.
Permit/Receipt No.
.:3 6> ~~
Installer:
New Meters
Date:
C. -'1 -7;;'-
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Per '. P NE 457-0411, EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
~,oo
Permit Fee ~
GREEN - Topo Mele' Depl" Bonomo C;ly H~
OLYMPIC PRINTERS INC.